Table of Contents
April 01, 2005; Volume 72, Issue 4-
From the Editor
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Messing with Mother Nature
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 265;
Even the most effective, cleverly targeted therapies may come with unintended consequences.
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Commentary
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‘Thanks for sharing’: A fictional reflection on shared medical appointments
Leslie G. Cohen, MD- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 277-280;
“I’m not an exhibitionist, Doctor. I came here to see
you , not to be part of a medical encounter group.”
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The authors reply: Shared appointments can be good care
David L. Bronson, MD and Richard A. Maxwell, MD- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 280;
Shared appointments are not for everybody, but we have found they help in providing access for hopelessly backlogged physicians and are usually enjoyable for both the patients and the physician.
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Editorial
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Highly resistant HIV: If not a super strain, at least a wake-up call
Alan J. Taege, MD and Wendy S. Armstrong, MD- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 285-286;
Even if it is too soon to sound the alarm about a “super strain,” we must redouble our prevention efforts.
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Current Drug Therapy
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Management of erectile dysfunction by the primary care physician
Nasser Mikhail, MD, MSc- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 293-311;
The oral selective inhibitors of PDE5 have revolutionized the treatment of erectile dysfunction and made it the province of primary care physicians.
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Review
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Varicose veins: Newer, better treatments available
John R. Bartholomew, MD, Terry King, MD, Avisesh Sahgal, MD and Allison T. Vidimos, MD- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 312-328;
We can now offer patients more convenient and less invasive options for managing their varicose veins.
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Uveitis in the internist’s office: Are a patient’s eye symptoms serious?
Rula A. Hajj-Ali, MD, Careen Lowder, MD, PhD and Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 329-339;
The diagnosis is not always clear. If it is uveitis, physicians must determine if it is caused by infection or is a sign of an underlying condition. Management is best handled collaboratively with an ophthalmologist.
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Medical Grand Rounds
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Advances in the treatment of hemorrhagic stroke: A possible new treatment
Joseph P. Broderick, MD- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 341-344;
Recombinant factor VIIa may be the first proven treatment for intracerebral hemorrhage.
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Hypertensive disorders of pregnancy: Overdiagnosis is appropriate
Stephen P. Emery, MD- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 345-352;
Since the presentation of preeclampsia is variable, a high index of suspicion is warranted.
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Im Board Review
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An elderly woman with leg swelling and pain
James K. Stoller, MD, H. Leon Daneschvar, MD and Hamed Daw, MD- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 353-358;
Six days after she started treatment for deep venous thrombosis, her platelet count drops to 60 × 109/L. What is the cause?
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Departments
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Cervical cancer screening (February 2005)
Richard Burns, MD, FACP- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 272;
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In reply: Cervical cancer screening (February 2005)
Xian Wen Jin, MD, PhD, FACP, Kristine Zanotti, MD and Belinda Yen-Lieberman, PhD- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 272;
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Physical therapy for back pain (January 2005)
Marleen Dunfee, MS, PT and Erin Johnson, DPT- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 272-273;
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In reply: Physical therapy for back pain (January 2005)
Allen F. Shaughnessy, PharmD- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 273;
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Reviewers 2004
- Cleveland Clinic Journal of Medicine April 2005, 72 (4) 281;
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